7/1/15 Lucy AMPS=196 +2=252 +4=275 PMPS=340 +4=304

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Voula

Member Since 2014
Hi everyone. Our +5 was 12/216 and our AMPS is 10.9/196. Does the glucose level have to be rising at AMPS? Thank you.
 
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You could stall (not feed and retest in half an hour ) and retest to see if she's rising if you'd like, but I do think her AMPS is high enough (although it's lower for her!) that you could safely shoot, especially given your data from Jan 2. Would you be able to get a +2, to see what sort of action she has planned for the day?
 
Thank you Amy. I forgot to not feed Lucy so she ate half her normal breakfast and is meowing for more food. I am home all day and able to test at +2 and as often as needed.
 
no, the glucose levels don't need to be rising at amps. I don't see any reason why you wouldn't shoot the full dose, Voula.

Experienced people will shoot everything over 50ish as long as their cat isn't sick and they can monitor if they are shooting low, which means shooting in the normal range - 50-120.

I think your concern about usimg isulin & her having a hypo - well, you have to consider the risks of her constantly being in high numbers too. They both carry risks.
 
According to the Roomp/Rand protocol do we always have to see a rising AMPS or PMPS before giving an insulin dose?
 
Thank you Amy. I forgot to not feed Lucy so she ate half her normal breakfast and is meowing for more food. I am home all day and able to test at +2 and as often as needed.

No worries! I agree with Julie...I think you're good to go with the full dose, and this will the perfect opportunity to gather some data!
 
I see the other posts from you and Amy.

I guess the thing I"d toss out there for you to consider - one of the things that I've seen people do (not necessarily you, but others) is that when their cat begins to make progress on a dose, and they finally start seeing better blood sugar control with the blood sugar range coming down, they back away and reduce the dose.

If you really want to get her tightly regulated it means shooting lower numbers. Anything over 120 isn't considered lower even, to shoot. I know it's counter-intuitive, but i think you'll find if you grab the bull by the horns she'll respond with flatter cycles and overall will do better.

No, you do not need to see rising numbers. In fact, if you can shoot numbers that AREN'T rising, you're going to have better control and possibly her cycles will go flatter. A well- regulated cat will have nearly a flat line of test numbers, not rising and falling numbers.
 
Here are some posts that might help you make this leap of faith! :)

Shooting Low Numbers
Tight Regulation Myths Debunked - look down to the section on shooting a dropping number
Shooting Normal Numbers for some examples and spreadsheets to look at.

I know it's hard to shoot lower numbers and trust that she won't bounce. I backed away on the dose with punkin many, many times, mainly because of his acromegaly and the potential for the hormones to switch off. The way to gain confidence is to do it when you're able to monitor, then test so you can see what she does. Once you see that she doesn't plummet when you shoot the full dose into normal numbers, then you'll be able to trust that she'll do it again.

It's a process. Keep asking and we'll keep encouraging you and cheering you on!!!:bighug:
 
I'll also add that the suggestion Amy gave you was right - if you ever are wavering on whether a preshot is high enough to shoot, you can always stall by not feeding and wait 20-30 minutes, then shoot as soon as you see it begin to rise.

you're doing great, voula. Everyone has to work on this at their own speed. :)
 
Thank you Amy and Julie so much and I am getting braver and I felt this morning this was an opportunity not to let fear get in the way of healing so thank you again. I will read the links you posted Julie.
 
Thank you Amy and Julie so much and I am getting braver and I felt this morning this was an opportunity not to let fear get in the way of healing so thank you again. I will read the links you posted Julie.
That is the beautiful thing about this forum- there's so much kitty love- you are never alone and that makes it easier to overcome your fears about shooting low! Good job!
 
That is the beautiful thing about this forum- there's so much kitty love- you are never alone and that makes it easier to overcome your fears about shooting low! Good job!
Thank you so much and it does help a lot to know others care and know more than I do about feline diabetes.
 
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